Active NPI
Harbor Point Dental PC
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1104186733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9987
- Legal business name
- HARBOR POINT DENTAL PC
- Practice address
- 711 Canal St
Stamford, CT 06902-5902 - Phone
- (845) 897-2097
- NPI assigned
- May 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Fertucci, DDS
- Title
- President
- Phone
- (845) 897-2097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9987 | CT | Primary |
Addresses
Primary practice location
711 Canal St
Stamford, CT 06902-5902
Mailing address
200 Westage Business Ctr Dr
Suite 233
Fishkill, NY 12524-2264
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1104186733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WESTAGE BUSINESS CTR DR",
"address_2": "SUITE 233",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 CANAL ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025902",
"telephone_number": "845-897-2097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR POINT DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "FERTUCCI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-897-2097",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "9987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.